Individual
NICOLE RAE CRNKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4306 OLD COLLEGE RD APT 1013, BRYAN, TX 77801-3563
(979) 779-0742
Mailing address
4306 OLD COLLEGE RD APT 1013, BRYAN, TX 77801-3563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2089507
TX
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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